Individual provider Active NPI

Peter Julio Gonzalez, MD

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1053055376
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
V7523 Issued in TX
Practice address
300 E Sonterra Blvd
San Antonio, TX 78258-3971
Phone
(210) 633-6234
NPI assigned
Apr 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X V7523 TX Primary

Addresses

Primary practice location

300 E Sonterra Blvd
San Antonio, TX 78258-3971

Mailing address

300 E Sonterra Blvd
San Antonio, TX 78258-3971
Phone (210) 633-6234

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address peterjgonzalez@me.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250804003169 TX Practitioner - Pediatric Medicine 3870001571 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
V7523TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Healthcare Associates, PLLC Pediatrics CurrentSince Aug 1, 2025 Accepting new patients
Northeast Pediatric Associates PA Pediatrics PastSince Aug 1, 2025 Accepting new patients

Locations

14100 San Pedro Ave
Ste 200
San Antonio, TX 78232

300 E Sonterra Blvd
Ste 320
San Antonio, TX 78258
Phone (210) 619-2710

1139 E Sonterra Blvd
#205
San Antonio, TX 78258
Phone (210) 614-2229

8606 Village Dr
#A
San Antonio, TX 78217
Phone (210) 657-0220

1139 E Sonterra Blvd
Ste 205
San Antonio, TX 78258
Phone (210) 614-2229

Interoperability endpoints

  • Direct secure messaging: pgonzalez36085@direct.utmsa.com
  • Direct secure messaging: pgonzalez@npa.pcc-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1053055376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E SONTERRA BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583971",
            "telephone_number": "210-633-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E SONTERRA BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583971",
            "telephone_number": "210-633-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "PETER",
        "middle_name": "JULIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-22",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "V7523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peterjgonzalez@me.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "300 E Sonterra Blvd",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782583971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.